Organization Active NPI

Coweta Occupational Medicine

  • Occupational Medicine Clinic/Center
  • Newnan, GA
National Provider Identifier
1386930907
Registry record updated Jun 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
Legal business name
COWETA OCCUPATIONAL MEDICINE
Practice address
1825 Highway 34 E
Suite 1300
Newnan, GA 30265-6423
Phone
(770) 502-2121
Fax
(770) 502-2113
NPI assigned
Jun 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Jimmy Karvelas
Title
Practice Administrator
Phone
(770) 502-2121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X Primary

Addresses

Primary practice location

1825 Highway 34 E
Suite 1300
Newnan, GA 30265-6423

Mailing address

1825 Highway 34 E
Suite 1300
Newnan, GA 30265-6423
Phone (770) 502-2121

National Provider Directory

National Provider Directory
Tax ID family
Coweta Occupation Medicine2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1825 Highway 34 E
Ste 1300
Newnan, GA 30265
Phone (770) 502-2112

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308700800000",
    "number": "1386930907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 HIGHWAY 34 E",
            "address_2": "SUITE 1300",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302656423",
            "telephone_number": "770-502-2121",
            "fax_number": "770-502-2113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 HIGHWAY 34 E",
            "address_2": "SUITE 1300",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302656423",
            "telephone_number": "770-502-2121",
            "fax_number": "770-502-2113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COWETA OCCUPATIONAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-22",
        "last_updated": "2011-06-22",
        "status": "A",
        "authorized_official_last_name": "KARVELAS",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "770-502-2121",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.